Booking Form

* Denotes required field.

E-mail address *
Party leader - Full name*
Full address *
Telephone number *
( Inc. International code )

Total number in party
Children in party - Under 3	Age 4-10 Age 11-16

Start date*

Cottage required-

La Pigeonnier		Number of weeks*
Le Hirondelle		Number of weeks*
Le Martinet		Number of weeks*
La Fermette		Number of weeks*

Please note : Our booking weeks go from Saturday to Saturday and a 20% deposit is required on booking. The balance falls due 9 weeks prior to your holiday. A returnable security/breakage deposit of € 200 is required with your final balance.

Please indicate if you require any of the following

Cot

Linen

High chair

If you have any special needs or requirements please enter below

Special needs -

To help us with our marketing please tell us how you found this site

We found your site via -

For terms and conditions please click here

We strongly advise you to read our terms and conditions before checking the boxs below.

DECLARATION

I have read your terms and conditions and accept them.	*
I accept on behalf of all above named persons your terms & conditions.	*
I am duly authorized by the above named persons to make this agreement.	*
I am over 18 years of age.	*

For your record print a hard copy of this form
then click 'Send booking form'.

To pay your deposit or balance using 'PayPal' - Click on the icon below.
You pay NO credit card charges using PayPal.

To pay by bank transfer please pay to -

CREDIT AGRICOLE :- SWIFT CODE AGRIFRPP894 - IBAN Number FR76 1940 6370 1380 1639 8000 128